The innervated tensor fasciae latae flap in patients with meningomyelocele.

An anatomical study concerning the sensory innervation of the tensor fascia lata (TFL) area was performed in 51 cadavers. Consequently, an innervated TFL flap was developed with an extended anteromedial border, by comparison with the classic TFL flap. This flap was used in surgery on 6 patients with meningomyelocele at L3 or lower level for unilateral ischial pressure sores. During follow-up, no recurrences were seen either on the operated side or on the contralateral side.